2J Dental Edge of Norman PLLC
Organization Active NPI Dentist · Norman, OK
NPI 1578036562 · NPPES record last updated Jan 2, 2019
Key facts
- NPI
- 1578036562
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- 2J DENTAL EDGE OF NORMAN PLLC
- Practice address
- 2400 12TH Ave NE Ste 140
Norman, OK 73071-6841 - Phone
- (405) 310-5285
- NPI assigned
- Jan 2, 2019
- Organization subpart
- No
Authorized official
- Name
- Joshua Brasher, DDS
- Title
- President
- Phone
- (405) 474-6362
Practitioners 1
-
Joseph Kenneth Fleming, D.D.S.
National Provider Directory
Locations
2400 12th Ave NE
Ste 140
Norman, OK 73071
Phone (405) 310-5285
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
2400 12TH Ave NE Ste 140
Norman, OK 73071-6841
Mailing address
3901 E Covell Rd
Edmond, OK 73034-6909
Phone (405) 474-6362
Other names
- Dental Edge of Norman
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.